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MFM Objectives PGY1
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Saved by Patrick Newman
on February 24, 2017 at 12:09:14 pm
MFM Rotation Ultrasound – UNM PGY1
Objectives
Basic Principles of Medical Ultrasound
- Explain the basic principles of ultrasound physics.
- Understand the different types of ultrasound modalities – 2D , 3D/4D, B mode , M mode, Color and Power Doppler.
- Describe bioeffects of ultrasound ; ALARA.
- Familiarity with relevant official statements from major societies : American Institute of Medicine (AIUM), American College of Obstetricians and Gynecologists (ACOG), Society of Maternal-Fetal Medicine ( SMFM), International Society of Ultrasound in Obstetrics and Gynecology (ISUOG).
Basic Characteristics of the Ultrasound Equipment ( Knobology)
- Transducer characteristics and applications.
- Describe bio-effects considerations related to acoustic power output.
- Describe the effects of frequency on resolution and penetration.
- Describe the use of depth settings on the field of view and image size.
- Explain how to adjust focal zone depths to achieve the best resolution of structures of interest.
- Identify patient information data to input before starting an ultrasound examination.
Aspects of the Ultrasound Examination
- Described effecting positioning of patients and application of coupling agents ( gel).
- Describe practices that minimize repetitive stress injuries / ergonomic practices.
- Explain how you label and store images.
- Describe the protocol for transducer cleaning and disinfection.
- Describe appropriate communication of ultrasound findings to the patient and other health care providers.
Ultrasound in the First Trimester
- Describe indications for a first-trimester ultrasound examination.
- Describe steps for performance of a first trimester ultrasound, transabdominal and transvaginal.
- Recognize the yolk sac, amnion, embryo, fetal number.
- Recognize and record fetal cardiac activity using clips and M-mode.
- Describe criteria for definitive viability in the first trimester.
- Use of ACOG criteria for pregnancy dating in the first trimester.
- Recognize the appearance of sub-chorionic hematomas.
- Describe the ultrasound evaluation of tubal ectopic pregnancies.
- Recognize the features of a molar pregnancy.
- Describe the association of a thickened nuchal translucency and fetal chromosomal anomalies.
Ultrasound in the Second and Third Trimesters
- Describe the components of the standard ( OB > 14 wks ) ultrasound.
- Identify the components of dating in the second and third trimester according to ACOG criteria.
- Recognize risk factors for abnormal fetal growth.
- Describe how to sonographically document placental location.
Placental abnormalities
- Recognize risk factors and sonographic diagnosis of placenta previa.
- Recognize and describe risk factors for placenta accreta.
Amniotic Fluid Assessment
- Describe methods for diagnosing oligohydramnios and polyhydramnios.
Ultrasound Evaluation of Multi-Fetal Gestations
- Explain the role of ultrasound in the diagnosis of Twins.
- Describe how to determine placentation ( chorionicity and amnionicity ) in multi-fetal gestations.
Ultrasound evaluation of the adnexae
- Recognize and describe the sonographic features of the normal ovary.
- Recognize and describe characteristics of a simple cyst and corpus luteal cyst.
Ultrasound of the non pregnant uterus
- Recognize indications for pelvic sonography.
- Recognize and describe the sonographic featuers of the normal uterus.
Week by Week Readings and Scanning Objectives
Rotation WEEK |
Resources to Complete |
Hands on Scanning Objectives |
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WK 1 |
Pre- test |
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AIUM Practice Parameter for the Performance of Obstetrical Ultrasound Examinations
Training Guidelines for Physicians Who Evaluate and Interpret Diagnostic Obstetric Ultrasound Examinations
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- Approach to the patient and machine.
- Ergonomic awareness.
- Basic Knobology.
- Overall sweep view and transducer manipulation.
- Documentation of fetal heart rate in clip store, M mode and PW Doppler (2nd-3rd Trimester).
- Amniotic fluid assessment by MVP/AFI.
- Fetal presentation.
- Lower uterine segment and Cervix ( for presentation).
LOG ALL STUDIES
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AIUM Official Statement Limited Obstetric Ultrasound
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AIUM Official Statement Transducer Cleaning
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Chapters 1, 2, 3 and 9 of Albuhamad **:
- Chapter 1 Basic Physical Principles of Medical Ultrasound
- Chapter 2 Basic Characteristics of the Ultrasound Equipment
- Chapter 3 Technical Aspects of the Ultrasound
- Chapter 9 Amniotic Fluid Assessment
- AS Sonographer Tutorial
- AS Troubleshooting
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WK 2 |
AIUM Official Statement on the Safe Use of Doppler Ultrasound During 11-14 week scans (or earlier in pregnancy)
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- CRL;
- BPD;
- HC;
- AC;
- FL;
- HL;
- Transcerebellar diameter.
- Add placental location, appearance, and cord insertion.
- Evaluation of the adnexae.
- Do as much transvaginal imaging as possible.
LOG ALL STUDIES
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ACOG Committee Opinion 611 Assigning EDD
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Chapters 4, 5, 6, 8 and 12 of Albuhamad **
- Chapter 4 Ultrasound in the First Trimester Chapter
- 5 Ultrasound in the Second Trimester Chapter
- 6 Ultrasound in the Third Trimester Chapter
- 8 Placental abnormalities Chapter
- 12 Dr Albuhamad Ultrasound Evaluation of the Adnexae
- ACOG IUGR Detection Surveillance
- Diagnostic Criteria Non Viable 1st Trim
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WK 3 |
Chapters 10 and 15 Dr Albuhamad **
- Chapter 10 Stepwise Standardized Approach to the Basic Obstetric Ultrasound in the Second and Third Trimester Chapter
- 15 Writing the ultrasound report Taber Scanning Tips Understanding Ultrasound Types and using proper terminology:
- CPT codes
- Roy Filly Editorial
- AS Physician Tutorial
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- Add fetal anatomy according to AIUM content guidelines.
- Build image optimization and efficiency.
- Tailor your ultrasound type to the clinical picture.
- Learn how to write a report in AS.
LOG ALL STUDIES
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CLEAR Program Power Point Slides and Criteria:
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- Do OB Transvaginal Cervical length.
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WK 4 |
ACOG Practice Bulletin 175 Ultrasound in Pregnancy |
- Completion of the protocol for a standard Ob ultrasound.
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GEVoluson Club
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- Continue building image optimization and scanning efficiency.
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AS Physician Tutorial |
- Write all the AS reports on your patients.
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AIUM Practice Parameters for Performance of Ultrasound of the Female Pelvis
AIUM Official Statement of Training Guidelines for Interpretation of Ultrasound of the Female Pelvis
Chapters 11,13,14 from Dr Albuhamad
- Chapter 11 Ultrasound of the Non-Pregnant Uterus
- Chapter 13 Ectopic Pregnancy
- Chapter 14 Stepwise Approach to the Basic Ultrasound Examination of the Female Pelvis
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- Transvaginal OB scanning
- Gyn Scanning.
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LOG ALL STUDIES |
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Written test |
- Practicum with MFM attending.
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MFM Objectives PGY1
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